Physician-led online menopause care - estrogen, progesterone and vaginal estrogen prescribed without a video visit
Last updated: Nov 8, 2026
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · · How we review
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · Medical Content Reviewer
Reviewed · Written by HRT Women Editorial Team · How we review
We may earn a commission from links on this page - it never affects our rankings (how we stay objective).
The bottom line
Winona is our runner-up because it removes the biggest barrier to menopause care - getting an appointment - while keeping a board-certified physician in charge of every prescription. The online intake is detailed, messaging is unlimited, and the range of estrogen forms lets your doctor tailor treatment.
The trade-offs are that it is self-pay only and never meets you by video, so women who want insurance billing or a live conversation may prefer an insurance-based clinic. Hormone therapy carries real risks - including blood clots, stroke and breast-cancer considerations - and it is not right for everyone, so answer the intake honestly and let the physician decide.
Confirm current pricing before subscribing. This review is general information, not medical advice.
Winona reviews are strongly positive. It held 4.6 stars from 9,008 Trustpilot reviews when we checked on November 3, 2026, and 39 of the 40 newest reviews gave 5 stars - mostly for symptom relief, easy refills with home delivery, and doctors who reply quickly. Complaints show up mainly at the Better Business Bureau, where Winona (B rating, not accredited) had 19 complaints in three years, about billing, cancellations and shipping.
Winona's products with published prices and what each price includes. Prescription treatments need a clinician's review first.
by Winona
A compounded body cream combining estrogen and progesterone, applied to the skin for whole-body menopause symptoms.
Monthly subscription - physician review, messaging and shipping included
by Winona
A compounded estrogen body cream applied to the skin for hot flashes, night sweats and other whole-body symptoms.
Monthly subscription - physician review, messaging and shipping included
by Winona
An FDA-approved estradiol skin patch that delivers a steady dose of estrogen through the skin for hot flashes and night sweats.
Monthly subscription - physician review, messaging and shipping included
Prices as published by each provider, checked October 2026; confirm at checkout. "FDA-approved" and "Compounded" labels appear only where we have verified them.
Winona is one of the best-known online menopause brands, built around a simple idea: many women want expert HRT care without booking appointments. Instead of a video call, you complete a detailed online health questionnaire, a board-certified physician licensed in your state reviews it, and - if hormone therapy is appropriate for you - a personalized plan ships to your door.
Ongoing care happens through secure messaging with your doctor. This review covers what Winona offers, what it costs and who it fits best.
Yes - Winona is a legitimate US telehealth company. Treatment is prescribed by board-certified physicians after an online medical questionnaire, and ongoing care runs through secure doctor messaging. As with any HRT, whether it's appropriate for you is a medical decision, so answer the intake honestly.
“Legitimate” here means a real, licensed telehealth operation - not a guarantee of results. Compounded medications are not FDA-approved brand drugs. Always confirm current details and eligibility with the provider.
Approximate only - confirm at checkout. Winona bills treatment as a monthly subscription that bundles the physician review, messaging and shipping.
Listed starting prices (October 2026) are about $39/month for progesterone capsules, $54/month for estradiol tablets, $89/month for the estrogen body cream (with or without progesterone) or vaginal estrogen cream, and $149/month for the estrogen patch; combining products costs more. Promotions and plans change, so verify the current price on Winona's own site before subscribing.
Complete the online intake
Answer detailed questions about your symptoms, cycle, health history and medications. Be thorough - personal or family history of clots, stroke or certain cancers matters a great deal for HRT.
Physician review
A board-certified physician licensed in your state reviews your answers and decides whether HRT is appropriate - and which form and dose fits - or whether another approach is better.
Delivery and ongoing care
If prescribed, treatment ships to your door, and you can message your doctor any time to adjust your plan.
39 of the 40 newest reviews gave 5 stars, mostly for symptom relief and responsive physicians; complaints show up at the BBB instead, about billing, cancellations and shipping. The profile is claimed, Winona pays for a Trustpilot subscription and replies to most reviews, and very recent reviews skew toward early, positive experiences. Winona is rated 4.6 out of 5 on Trustpilot across 9,008 reviews. Below, the themes in the 40 most recent reviews we read in full (as of Nov 3, 2026), with how many mention each.
Trustpilot figures as shown on Nov 3, 2026; BBB figures as shown on Oct 19, 2026. Ratings change - check Trustpilot and bbb.org for the latest. We don't edit or select reviews to change the picture: the sample is the most recent menopause-related reviews at the time, including low-star ones.
Everything is coming back!
“At 38 I had a complete hysterectomy, I am now 49. This is the 1st time I have had a Dr agree that I needed hormones and not some antidepressant or anxiety pill. I am very happy I didn't give up, and even more happy I found Winona. For me the 1st couple weeks were a little rough. My breasts hurt so much I called my mom crying - I wasn't sure this was going to help, it seemed to make everything worse. I had spent so many years with 0 hormones, an out of control internal thermostat, brain fog so bad I couldn't remember simple things, sleep was a thing of the past and ZERO libido. Well, I can say I am overjoyed I stuck with it! The breast tenderness went away quickly, the hot flashes and night sweats are a thing of the past, I haven't had to change my sheets in the middle of the night from sweating and I am actually a happy person again. I am only on week 10 and am feeling hopeful for it only getting better.”
Stacey
US
Best decision ever
“I had went to the doctor several times over the past couple years about my menopause symptoms. The doctor just wanted to put me on antidepressants and nothing I tried was helping with all my symptoms. I saw an ad for Winona and clicked the link. I answered all the questions about my symptoms and in no time the doctor had come up with a treatment plan. The process was simple and fast. I have been on HRT meds for going on three months now and I feel so much better. My hot flashes, night sweats, and other symptoms have gone away. Also if you have questions they always answer in no time.”
Lana Herald
US
Don't feel so much difference
“Don't feel so much difference, will see in the next few months.”
Ivelisse Muniz
PR
I feel so much better
“I feel so much better. Anxiety has almost stopped completely. I am not as angry at times. My ears still itch like crazy but I can live with that as long as the anxiety and mood swings are better. The service is great. I highly recommend.”
Elizabeth Hoyle
US
Winona is our runner-up because it removes the biggest barrier to menopause care - getting an appointment - while keeping a board-certified physician in charge of every prescription. The online intake is detailed, messaging is unlimited, and the range of estrogen forms lets your doctor tailor treatment.
The trade-offs are that it is self-pay only and never meets you by video, so women who want insurance billing or a live conversation may prefer an insurance-based clinic. Hormone therapy carries real risks - including blood clots, stroke and breast-cancer considerations - and it is not right for everyone, so answer the intake honestly and let the physician decide.
Confirm current pricing before subscribing. This review is general information, not medical advice.
Yes - Winona is a legitimate US telehealth company. Treatment is prescribed by board-certified physicians after an online medical questionnaire, and ongoing care runs through secure doctor messaging. As with any HRT, whether it's appropriate for you is a medical decision, so answer the intake honestly.
Approximate only - confirm at checkout. Winona bills treatment as a monthly subscription that bundles the physician review, messaging and shipping. Listed starting prices (October 2026) are about $39/month for progesterone capsules, $54/month for estradiol tablets, $89/month for the estrogen body cream (with or without progesterone) or vaginal estrogen cream, and $149/month for the estrogen patch; combining products costs more. Promotions and plans change, so verify the current price on Winona's own site before subscribing.
Winona offers Estradiol (oral pill, patch or cream - clinician-selected), Progesterone (for women with a uterus taking estrogen), Vaginal estrogen cream (localized urogenital symptoms), Estriol-based options where appropriate, Non-HRT add-ons such as a compounded arousal cream and hair and skin products.
Winona is best for Women who want expert HRT care without scheduling appointments; Those comfortable communicating with a doctor by secure message; Anyone who wants a choice of estrogen forms delivered to the door.
Winona is our runner-up because it removes the biggest barrier to menopause care - getting an appointment - while keeping a board-certified physician in charge of every prescription. The online intake is detailed, messaging is unlimited, and the range of estrogen forms lets your doctor tailor treatment. The trade-offs are that it is self-pay only and never meets you by video, so women who want insurance billing or a live conversation may prefer an insurance-based clinic. Hormone therapy carries real risks - including blood clots, stroke and breast-cancer considerations - and it is not right for everyone, so answer the intake honestly and let the physician decide. Confirm current pricing before subscribing. This review is general information, not medical advice.
No. Winona does not bill insurance directly - treatment is a monthly self-pay subscription. Its HRT prescriptions are generally HSA/FSA eligible, and some patients submit receipts to their insurer for possible reimbursement, but that depends entirely on your plan.
Listed starting prices are about $39/month for progesterone capsules, $54/month for estradiol tablets, $89/month for the estrogen body cream (with or without progesterone) or vaginal estrogen cream, and $149/month for the estrogen patch; combining products costs more. The subscription includes the physician review, unlimited messaging and follow-ups, and free shipping. Prices change, so confirm at checkout.
Winona's HRT options include estradiol as a pill, patch or cream, estriol, progesterone pills, and vaginal estrogen cream for dryness and urinary symptoms. It also offers non-HRT add-ons such as an arousal cream and hair and skin products. It does not prescribe testosterone.
Winona prescribes hormone therapy only after a physician reviews your medical history, which is the key safety step. HRT itself carries real risks - including blood clots, stroke and breast-cancer considerations - and is not right for everyone, so answer the intake completely and ask your doctor about side effects such as breast tenderness, bloating, spotting or (with progesterone) drowsiness.
Winona (bywinona.com) is a US telehealth company for perimenopause and menopause care. You complete an online medical questionnaire, a board-certified physician licensed in your state reviews it, and if hormone therapy is appropriate your treatment ships to your door. There is no video visit; ongoing care runs through unlimited secure messaging, billed as a monthly self-pay subscription.
Yes. Winona prescribes an FDA-approved estradiol patch, listed from about $149/month at our last check. It also offers FDA-approved estradiol tablets (from about $54/month) and a compounded estrogen body cream (from about $89/month). A Winona physician decides which form suits your history.
Yes. Winona's vaginal estrogen cream, listed from about $89/month, treats vaginal dryness, painful sex and urinary symptoms of menopause. Winona describes its active ingredient as estradiol; ask your physician whether your prescription is an FDA-approved product or compounded.
No. Winona's Estrogen Body Cream (with or without progesterone, from about $89/month) is a compounded bi-est cream made in Winona's own compounding pharmacies, so it is not FDA-approved. Winona's estradiol tablets, estradiol patch and progesterone capsules are FDA-approved products.
Blossom is Winona's prescription arousal cream (about $79 per order). It combines sildenafil - the active ingredient in Viagra - with pentoxifylline and is applied to the vulvar area before intimacy to increase blood flow and sensitivity. It is pharmacy-prepared, not an FDA-approved product, and it is not hormone therapy; for dryness or pain, vaginal estrogen is the evidence-based treatment.
Winona held a 4.6 rating from 9,008 Trustpilot reviews when we checked on November 3, 2026. In the 40 newest reviews, 39 gave 5 stars; reviewers mostly praised relief from hot flashes, night sweats, sleep and mood symptoms, responsive doctors and easy refills and delivery. The complaints we found elsewhere are about billing, cancellations and shipping rather than the quality of care. Its BBB profile showed a B rating (not accredited) on October 19, 2026.
The questions people ask before signing up - answered in depth.
We built this review of Winona from the provider's own published pricing, plans and policies, cross-checked against regulatory and peer-reviewed medical references, and read alongside real customer feedback. Prices and plan details were verified against the provider's published information; we do not take providers' word for their own claims without checking.
Provider information
Pricing, plans, shipping and policies, checked against each provider's own site.
Provider data checked September 2026
Customer & community feedback
Third-party signals shown on this page and in our full reviews: verified Trustpilot ratings, public Reddit discussions, and independent YouTube reviews. We report what these sources say - we never fold their ratings into our own scores.
Medical & regulatory references
Last reviewed September 2026. We revisit comparisons when providers change their pricing or policies. This page is information only and is not medical advice - always consult a licensed clinician before starting treatment.